ANNEX 5: ACCESS PERMIT
Regulation 19
THE NATIONAL ENVIRONMENT (ACCESS TO GENETIC RESOURCES AND BENEFIT
SHARING) REGULATIONS, 2005
THE UGANDA NATIONAL COUNCIL FOR SCIENCE AND TECHNOLOGY
Form: AGR 4
ACCESS PERMIT
Not Transferable
Permission
is
hereby
granted
…………………………………………………………………………………………….
to
M/S
……………………………………………………….………………………………………………………………
…………………………
……….………………………………………………………………………………………………………………
…………………………
(Name and description of applicant)
to
access,
collect
and
export
………………………………………………………….
the
following
genetic
resources
………………………….……………………………………………………………………………………………
…….…………………..
……………………………………………………………………………….………………………………………
…………………………
(Describe the genetic resources, derivative products or intangible components as stated in the materials transfer
agreement)
located
at
………………………………………………………………………………………………………………………
…………..
………………………………….……………………………………………………………………………………
…………………………
…………………………………..…………………………………………………………………………………
…………………………..
(State location by local council, village, sub-county and district)
This permit is issued subject to all the necessary agreements and material transfer agreement concluded pursuant
to the Regulations and shall be withdrawn should the holder breach any of the conditions contained in those
agreements and the Regulations.
Signed:
…………………………………………………………
Guidelines for Access to Genetic Resources and Benefit Sharing
………………………………………..
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